Katarzyna Gendera, Stanimir Georgiev, Andreas Eicken, Andrea Amici, Alfred Hager, Maria von Stumm, Daniel Dilber, Peter Ewert, Pinar Bambul Heck
{"title":"Stent implantation for recurrent stenosis after aortic arch repair in small children: short- and mid-term results without reoperations.","authors":"Katarzyna Gendera, Stanimir Georgiev, Andreas Eicken, Andrea Amici, Alfred Hager, Maria von Stumm, Daniel Dilber, Peter Ewert, Pinar Bambul Heck","doi":"10.1016/j.rec.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.rec.2025.07.002","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Stent implantation has become the gold standard for the treatment of native coarctation of the aorta (CoA) and recurrent CoA in adolescents and adults. In smaller children, however, stent implantation remains technically challenging due to anatomical constraints and growth considerations. Furthermore, data on the optimal treatment strategy in this age group are still limited. This study retrospectively analyzed clinical outcomes in young children treated with stent implantation for recurrent aortic arch stenosis.</p><p><strong>Methods: </strong>A total of 101 patients (63 male; 62%) with a body weight of less than 15 kg were treated with endovascular stent implantation for re-stenosis of the reconstructed aortic arch (n = 94; 93%) or native CoA (n = 7; 7%). The median age at the time of stent implantation was 4.8 months (IQR, 3.2-9.6 months) with a median body weight of 5.9 kg (IQR, 4.7-8.4 kg). The median follow-up period was 46.4 months (IQR, 11.0-76.6).</p><p><strong>Results: </strong>All procedures were successful, and no serious complications occurred. The peak-to-peak gradient decreased significantly from a median of 32.5 mmHg (IQR, 17.3-46.0 mmHg) to 0.0 mmHg (IQR, 0.0-2.5 mmHg; P < .005). The diameter of the narrow segment increased from a median of 3.0 mm (IQR, 2.0-4.0 mm) to 6.9 mm (IQR, 6.0 8.0 mm; P < .05). During follow-up, none of the patients required reoperation.</p><p><strong>Conclusions: </strong>Stent implantation is a safe and feasible treatment option in patients with restenosis after complex aortic arch reconstruction or native CoA in whom surgical treatment would pose an elevated risk of complications. However, repeated dilatations and, ultimately, intentional stent fracture are required during follow-up.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eun-Seok Shin, Sunwon Kim, Dong Oh Kang, Bitna Kim, Ae-Young Her
{"title":"Drug-coated balloon-based versus drug-eluting stent-only treatment for single de novo diffuse coronary lesions.","authors":"Eun-Seok Shin, Sunwon Kim, Dong Oh Kang, Bitna Kim, Ae-Young Her","doi":"10.1016/j.rec.2025.07.003","DOIUrl":"https://doi.org/10.1016/j.rec.2025.07.003","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>There are limited data on drug-coated balloon (DCB) treatment for de novo diffuse coronary artery disease (CAD). This study aimed to evaluate the clinical impact of DCB-based percutaneous coronary intervention (PCI) in patients with de novo diffuse long CAD.</p><p><strong>Methods: </strong>We retrospectively included 623 patients with single de novo diffuse CAD (≥ 30 mm). These patients underwent PCI exclusively for the target lesion and were successfully treated with DCB-based PCI. They were compared with 623 propensity-matched patients who underwent conventional PCI with second-generation drug-eluting stents (DES) for diffuse CAD (DES-only group). The primary endpoint was major adverse cardiovascular events (MACE), defined as a composite of cardiac death, myocardial infarction, stent or target lesion thrombosis, target vessel revascularization, and major bleeding at 2 years.</p><p><strong>Results: </strong>In the DCB-based group, 73.7% of patients were treated with DCB alone. The MACE rate was significantly lower in the DCB-based group than in the DES-only group (4.6% vs 14.6%; hazard ratio: 0.29; 95% confidence interval: 0.18-0.47; P < .001). Rates of target vessel revascularization (3.1% vs 9.7%; P < .001) and major bleeding events (0.8% vs 2.7%; P = .008) were also lower with DCB-based PCI than with DES-only PCI. In a multivariable model, DCB-based PCI was independently associated with a lower risk of 2-year MACE, target vessel revascularization, and major bleeding.</p><p><strong>Conclusions: </strong>In patients with de novo diffuse CAD, DCB-based PCI was associated with a significant reduction in MACE compared with DES-only PCI.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lorenzo Fácila, Jezabel Pendás, Vicente Montagud, Miguel Benedito
{"title":"Impact of excluding transapical access on sex-based outcomes after transcatheter aortic valve implantation: a methodological limitation?","authors":"Lorenzo Fácila, Jezabel Pendás, Vicente Montagud, Miguel Benedito","doi":"10.1016/j.rec.2025.05.014","DOIUrl":"10.1016/j.rec.2025.05.014","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of excluding transapical access on sex-based outcomes after transcatheter aortic valve implantation: a methodological limitation? Response.","authors":"Salvatore Brugaletta","doi":"10.1016/j.rec.2025.06.005","DOIUrl":"10.1016/j.rec.2025.06.005","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Shaping prognosis in severe tricuspid regurgitation via right ventricular-pulmonary arterial coupling assessment.","authors":"Dalila Nappa, Rocío Hinojar, Covadonga Fernández-Golfín","doi":"10.1016/j.rec.2025.06.006","DOIUrl":"https://doi.org/10.1016/j.rec.2025.06.006","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María Valverde Gómez, Luis de La Higuera Romero, Marlene Pérez Barbeito, Soledad García Hernández, Ivonne Cárdenas Reyes, Juan Pablo Ochoa
{"title":"TTN cardiomyopathy: expanding clinical relevance beyond the A-band.","authors":"María Valverde Gómez, Luis de La Higuera Romero, Marlene Pérez Barbeito, Soledad García Hernández, Ivonne Cárdenas Reyes, Juan Pablo Ochoa","doi":"10.1016/j.rec.2025.07.001","DOIUrl":"https://doi.org/10.1016/j.rec.2025.07.001","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ESSOS single breath-hold 3D magnetic resonance for the assessment of aortic dilation.","authors":"Sandra Gómez-Talavera, Álvaro Navarro-Guzmán, Rodrigo Fernández-Jiménez, Valentín Fuster, Javier Sánchez-González, Borja Ibáñez","doi":"10.1016/j.rec.2025.04.012","DOIUrl":"10.1016/j.rec.2025.04.012","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
César Jiménez-Méndez, Rafael Vázquez-García, William Delgado, Daniel Bartolome, Etel Silva
{"title":"Long-term impact of an intensive telemedicine-based strategy for lipid management.","authors":"César Jiménez-Méndez, Rafael Vázquez-García, William Delgado, Daniel Bartolome, Etel Silva","doi":"10.1016/j.rec.2025.05.013","DOIUrl":"10.1016/j.rec.2025.05.013","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francisco González-Vílchez, Luis Almenar-Bonet, Manuel Gómez-Bueno, María G Crespo-Leiro, Manuel Cobo-Belaustegui, Manuel Crespín-Crespín, Carlos Ortiz-Bautista, Juan F Delgado-Jiménez, Marta de Antonio-Ferrer, José Manuel Sobrino-Márquez, Miguel Llano-Cardenal, José Antonio Vázquez de Prada, Francisco Nistal-Herrera, Cristina Castrillo, Beatriz Díaz-Molina, Vanesa Alonso-Fernández, Cristina Fidalgo-Muñiz, Diego Rangel-Sousa, Antonio Grande-Trillo, Sonia Mirabet, Laura López, Alba Maestro, Laura Triguero, Isabel Zegrí, Clara Simón, Antonino Ginel, Marta Farrero-Torres, Ángeles Castells, Pedro Caravaca-Pérez, Eduard Solé, José González-Costello, Elena García-Romero, Carles Díez-López, Lorena Herrador-Galindo, Fernando de Frutos, Laia Rosenfeld, Silvia Ibáñez-Caballero, Cristina García-Rodríguez, Lorena Santulario, Pasqual Llongueras, Adolfo Villa-Arranz, Manuel Martínez-Sellés, Iago Sousa-Casasnova, Eduardo Zataraín-Nicolás, Zorba Blázquez-Bermejo, Javier Castrodeza-Calvo, María Jesús Valero-Masa, Jorge Martínez-Solano, Manuela Camino-López, Nuria Gil-Villanueva, Juan Miguel Gil-Jaurena, Raquel López-Viella, Soledad Martínez-Penadés, Julia Martínez-Solé, Víctor Donoso-Trenado, Manuel Anguita-Sánchez, María Ángeles Tejero Hernández, Gloria Heredia Campos, Javier Segovia-Cubero, Cristina Mitroi, Mercedes Rivas-Lasarte, Sara Lozano-Jiménez, Jose María Viéitez-Flórez, María Dolores García-Cosío, Laura Morán-Fernández, Javier González Martín, Irene Marco-Clement, Maria Jesús Paniagua-Martín, Eduardo Barge-Caballero, Gonzalo Barge-Caballero, David Couto-Mallón, Daniel Enríquez-Vázquez, Milena Antúnez-Ballesteros, Carlos Labrandero de Lera, Álvaro González-Rocafort, Inés Ponz de Antonio, Adriana Rodríguez-Chaverri, Luz Polo López, Luis de la Fuente-Galán, Javier Tobar-Ruiz, Iris P Garrido-Bravo, Francisco J Pastor-Pérez, Domingo A Pascual-Figal, Teresa Blasco-Peiró, Ana Pórtoles-Ocampo, Ana Marcén-Mirabete, Gregorio Rábago-Juan-Aracil, Rebeca Manrique-Antón, Leticia Jimeno-San Martín, Antonio García-Quintana, María Del Val Groba-Marco, Mario Galván-Ruiz, Miguel Fernández de Sanmamed-Girón, Paola Dolader, Ferrán Gran-Ipiña
{"title":"Spanish heart transplant registry. 36th official report of the Heart Failure Association of the Spanish Society of Cardiology.","authors":"Francisco González-Vílchez, Luis Almenar-Bonet, Manuel Gómez-Bueno, María G Crespo-Leiro, Manuel Cobo-Belaustegui, Manuel Crespín-Crespín, Carlos Ortiz-Bautista, Juan F Delgado-Jiménez, Marta de Antonio-Ferrer, José Manuel Sobrino-Márquez, Miguel Llano-Cardenal, José Antonio Vázquez de Prada, Francisco Nistal-Herrera, Cristina Castrillo, Beatriz Díaz-Molina, Vanesa Alonso-Fernández, Cristina Fidalgo-Muñiz, Diego Rangel-Sousa, Antonio Grande-Trillo, Sonia Mirabet, Laura López, Alba Maestro, Laura Triguero, Isabel Zegrí, Clara Simón, Antonino Ginel, Marta Farrero-Torres, Ángeles Castells, Pedro Caravaca-Pérez, Eduard Solé, José González-Costello, Elena García-Romero, Carles Díez-López, Lorena Herrador-Galindo, Fernando de Frutos, Laia Rosenfeld, Silvia Ibáñez-Caballero, Cristina García-Rodríguez, Lorena Santulario, Pasqual Llongueras, Adolfo Villa-Arranz, Manuel Martínez-Sellés, Iago Sousa-Casasnova, Eduardo Zataraín-Nicolás, Zorba Blázquez-Bermejo, Javier Castrodeza-Calvo, María Jesús Valero-Masa, Jorge Martínez-Solano, Manuela Camino-López, Nuria Gil-Villanueva, Juan Miguel Gil-Jaurena, Raquel López-Viella, Soledad Martínez-Penadés, Julia Martínez-Solé, Víctor Donoso-Trenado, Manuel Anguita-Sánchez, María Ángeles Tejero Hernández, Gloria Heredia Campos, Javier Segovia-Cubero, Cristina Mitroi, Mercedes Rivas-Lasarte, Sara Lozano-Jiménez, Jose María Viéitez-Flórez, María Dolores García-Cosío, Laura Morán-Fernández, Javier González Martín, Irene Marco-Clement, Maria Jesús Paniagua-Martín, Eduardo Barge-Caballero, Gonzalo Barge-Caballero, David Couto-Mallón, Daniel Enríquez-Vázquez, Milena Antúnez-Ballesteros, Carlos Labrandero de Lera, Álvaro González-Rocafort, Inés Ponz de Antonio, Adriana Rodríguez-Chaverri, Luz Polo López, Luis de la Fuente-Galán, Javier Tobar-Ruiz, Iris P Garrido-Bravo, Francisco J Pastor-Pérez, Domingo A Pascual-Figal, Teresa Blasco-Peiró, Ana Pórtoles-Ocampo, Ana Marcén-Mirabete, Gregorio Rábago-Juan-Aracil, Rebeca Manrique-Antón, Leticia Jimeno-San Martín, Antonio García-Quintana, María Del Val Groba-Marco, Mario Galván-Ruiz, Miguel Fernández de Sanmamed-Girón, Paola Dolader, Ferrán Gran-Ipiña","doi":"10.1016/j.rec.2025.04.011","DOIUrl":"10.1016/j.rec.2025.04.011","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>This report presents updated data on heart transplants in Spain, including procedures carried out in 2024. It reviews trends over the past decade (2015-2024) in donor and recipient characteristics, surgical techniques, immunosuppression strategies, and survival rates.</p><p><strong>Methods: </strong>Data were drawn from the Spanish heart transplant registry, which is updated annually. The analysis includes 347 transplants performed in 2024, as well as procedures from 2015 to 2023 (n=2721).</p><p><strong>Results: </strong>In 2024, the number of heart transplants increased by 6.8% compared with 2023. There were no significant changes in recipient age or sex, but the proportion of urgent transplants rose to 47.0%. Use of circulatory support devices increased, particularly extracorporeal membrane oxygenation. The average donor age showed a slight increase in 2024, although the long-term trend remained downward. Donation after circulatory death accounted for 29.1% of transplants in 2024. One-year survival rates improved, reaching 85.2% for transplants performed between 2021 and 2023.</p><p><strong>Conclusions: </strong>The number of heart transplants continued to grow, nearing historic highs, largely due to the expansion of donation after circulatory death. Improved 1-year survival reflects the maturity of transplant programs, advances in surgical and medical management, and better pretransplant conditions in recipients.</p>","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan Manuel Serrano-Marcos, Víctor Manuel López-Espinosa, Míriam Cantero-Campos
{"title":"Uncommon cardiac involvement in metastatic osteosarcoma.","authors":"Juan Manuel Serrano-Marcos, Víctor Manuel López-Espinosa, Míriam Cantero-Campos","doi":"10.1016/j.rec.2025.06.004","DOIUrl":"10.1016/j.rec.2025.06.004","url":null,"abstract":"","PeriodicalId":38430,"journal":{"name":"Revista española de cardiología (English ed.)","volume":" ","pages":""},"PeriodicalIF":7.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}